Student Ogranization Task Number Creation Form

STUDENT ORGANIZATION TASK NUMBER CREATION FORM
Organization/Entity Information:

Name of Organization___________________________________________________________________

Campus Mailing Address (President or Treasurer):____________________________________________

Organization Telephone Number (President or Treasurer):_____________________________________

Organization Email (President or Treasurer):_________________________________________________

Sponsoring Department/College/Division: __________________________________________________

Is the Organization associated with or a chapter of a National Organization: Yes_____ No_____

If Yes –  Does the Organization intend to use the National Organization’s EIN number (tax I.D.#) Yes_____  No____  Not Sure____

 Does the Vanderbilt Organization have its own EIN number (tax I.D. #) or not-for-profit status outside of the university? Yes_____  No____  Not Sure ____

Task Number Set Up Information:

___________________________                                                                   _________________________________
Task Responsible Person (Coach)                                                                  Business/Campus Telephone Number

___________________________                                                                  _________________________________
Campus Mailing Address (Coach)                                                                  E-mail Address

Reason for Task Number Request:

X To conduct organization business: _________________________________________________________________________

_____________________________                                                               ______________________________________
Send to Person (Adviser or Designee)                                                            Campus Mailing Address

Signature:

_________________________________
Task Responsible Person (Coach)
TO BE COMPLETED BY STUDENT ORG OFFICE AFTER SUBMISSION

Is the Organization Registered?
Yes_____ No_____                                                                                            ____________________________________
Director, Student Orgs & Governance

__________________________________                                                       ________________________________________
DOS Financial Task Approval                                                                            Student Org ID Number

DOS Accounting: Structure 1 Sumto: ___________________________         Structure 5 Sumto: ___________________________